ShoppGirl

I agree with others that it’s not wise to jump ahead. You really could be harming yourself physically. And just because it was okay once doesn’t mean it will continue to be every time. I suggest calling your team and letting them know you are having issues. Maybe you can safely move ahead to something a little more substantial than broth once they assess your specific situation just probably not to lobster bisque. in terms of the liquids, try flavorings and different temperatures. Also remember that broth does count towards your goal. Best of luck.

Okay this is long and boring at parts but here it goes. I am 3 years post sleeve and I have gained all my weight back . First of all I was on the smaller side to have the sleeve but I do still have all the same struggles and if I had waited until I was older it was just a matter of time until I was a higher bmi having the surgery. The fact that I have lost and then gained it all plus some within less than years is probably proof of that. Anyways, with the sleeve I did lose a big chunk of weight. I went from 235 to 168 which I could not have done with regular diet. But, i was always able to eat a little more than I should at every given stage and everything was easy for me. From day one I had no gas pain and water was easy to get down, then fluids and protein which were easy to keep down, I had no food intolerances and advancing through each stage. I was living my best life watching the pounds fall off but I was alway able to eat just a little more than everyone else at the same stage. Well, while the hunger hormone was gone and I was focused I was able to eat exactly what I SHOULD be eating and I measured my portions to the Amount I should be eating and I was satisfied. So lost most of the weight the dr suggested I would. i held that weight for a few months but then the hunger started creeping back and between the hunger and the extra room in the pouch I started gaining in spite of still making healthy food choices (my food was fine but my portions were too large and too frequent). Well, even though I knew I was losing control my friends and family continued to look at me as doing great..I was still on the road to getting to where I needed ti be in their eyes. I was ashamed. I was failing yet They kept complimenting me and offering me food. They were saying things like your doing so good, you can have one slice or pizza or one brownie. It won’t kill you. It’s okay that you’ve gained a couple pounds I’ve gained a couple it’s Christmas. You can lose that. Well I have since learned that no I cannot just have one of anything to do with carbs or I crave them for a week but I didn’t know that back then Anyways, was still going to my surgeon asking for help but I have bipolar disorder and the meds I take for it limit what other meds I can take so I cannot take many of the weight loss meds they had to offer. And the one I can take worked wonderfully during the day but when it wore off I ate all night Fast forward a few months and I stepped on the scale and I was back over 200. That sucked but I wasn’t giving up. went back to my surgeon asking about revision to bypass. I have heartburn gerd whatever you call it and clearly the sleeve wasn’t working so I wanted to know my options. Well let’s go back. I knew I didn’t want to have surgery if I was going to just repeat the yo-yo that had just happened so I decided I wanted two opinions this time. Well the second opinion dr had a cancellation so I seen him first. He was on board. He was going to bypass a shorter amount of bowel so i had less absorption issues and my meds Would work fine he said which seemed to be his concern even though it wasn’t really my question. I just needed my dr to say that it shouldn't be a repeat of last time and I was going forward. Well even though the bypass was an option he presented to me to start he said he wouldn’t do a bypass for me. He thought it would be a bad call with my mental health issues. This was confusing to say the least because I have one dr saying it’s fine and another dr I really respect saying it’s not and I started this thinking bypass was always an okay option in terms of mental health but worried the surgery just wouldn’t work for me. I am of course concerned about my mental health so took some time to think about it. I tried for a while to find a bariatric therapiest but none near me are taking any new patients. I even asked the surgeon and he said he would look into it but be never did. Anyways I called around for the better part of two days. They all just do the evaluations now for surgery. I have had every hormone test and lab they have that could possibly be the problem. I changed all my meds in case they were the issue. I tried everything myself and my doctors could think of but I kept gaining. When I revisited the idea of surgery I was scared. Anything that was going to upset my mental health again just isn’t an option I decided. I already know what life without my medication is like and I do not want to go back there. I continued to gain. I got back up to 245 and I am miserable. I am so depressed when I look at what I have let happen to myself. I had a chance and I blew it. I am disgusted when I look in the mirror. I decided that the weight is causing me to be more depressed so I needed to get some real answers. I went back to my surgeon. Not to ask him to do the surgery but exactly why he thought it was a bad idea. The plan was to take that info and talk to the other surgeon to make sure he had considered that and see why he wasn’t worried about it. Well, surprise…my surgeon is on board now with doing a revision for me. When I asked why he said no before he said something about a nite in my chart that said I wasn’t complaint with my meds back them and he didn’t know I have a psychiatrist and psychologist and take my meds but now he is comfortable doing surgery. So, frustrated I had to wait until I gained almost 50 more pounds to get here but excited he is willing to do it I am researching the other surgery he thinks will be a better fit for me called the SADI. At the same time I am still not buying the note in my chart thing. Cause that was never true. I guess the important takeaway for those of you here that are just starting out is even if you do regain don’t lose touch with your team and don’t give up. I feel like my dr wavering in whether he would do the surgery didn’t help but I could have asked more questions sooner and I wouldn’t have so much to lose this time. Plus, hopefully you guys can take the weight loss meds and won’t be facing a second surgery.

Oh wow. That sounds beautiful. I’m sure you will find someone to join you, but. I agree It would be nice to have someone that is on a similar journey. My Fingers are crossed you find someone here that’s nearby.

Have you only spoken with you bariatric dr, in regards to this being related to surgery? Perhaps it’s coincidence and you have something totally unrelated going on. I would have a chat with my PCP if you haven’t already.

I’m not near you, unfortunately, but love the idea of a walking buddy. I bet an accountability partner would be really good for me too. If you don’t find one right away though I know alot of people tend to walk the malls. (Not sure what the centennial is so forgive me if that’s already your plan). I would assume it’s earlier in the day when it’s less busy but can’t say for sure. I was thinking about doing something like that. Thinking I may meet someone there and we can sync our schedules.

I appreciate your input and you are very right. I did speak with one therapist and it’s like $300 a visit but maybe I can talk to my husband about it. At least I could go a handful of times, mayne. I edited my post to explain a lot more of my story. I’m kinda feeling like I’m on my own at this point. If I still feel this way after I meet with the dr next month I will be considering other options.

I have a therapist that I speak to refularly but no she doesn’t specialize in food. Unfortunately there are not any therapists around here that specialize in food taking on new patients. I even asked the surgeons and they only know the ones they refer you to for evaluation to be cleared for surgery (who apparently want to make the quick $300 or whatever it was and move on because they don’t accept new patients). I know that it could be a huge help for me but I hate to bring it up again knowing he won’t have an answer anyways. I don’t want him to think I’m not fit for surgery if that’s my only option. I don’t have any eating disorders. I don’t binge or anything but I do eat when I’m upset. I am not sure to what degree that is normal or can be helped but I would love to try. I just can’t find anyone and I’ve asked anyone and everyone I can think of. Basically my drs team does not hace any info on the surgery yet. I think I may be one of his first patients with this particular procedure. He is a very well know and excellent surgeon but he only offered sleeve and bypass before as far as I know. Anyways so far I have read from many different sites that you can’t have grains, probably won’t be able to tolorate dairy, can have a small amount of fat, must eat a lot of protein of course but some people can’t tolorate beans and keep carbs low so limit the amount of fruit and what I consider to be the edible vegetables. Basically that leaves me eating meat all the time, with maybe a little avacado and nothing else, I mean in terms of the options that I actually like, am I right? I mean at least with the sleeve I could eat eggs and beans and fruit and veggies I liked. I’m talking about even in maintenance I don’t think people who get SADI can have these things. Otherwise it causes the bathroom side effects. im really hoping that I’m wrong. There is such a little Amount of very confusing information about this surgery out there and I do intend to ask the dr and the dietician. In fact I called and left a message for her earlier today wanting to know what she knows about this procedure and whether I should schedule with her to learn about diet in the long term? She didn’t call back yet. Do you know that there isn’t even a cookbook for this procedure yet. At least that I could find. I’m not getting this much of my anatomy altered and facing this type of risks without knowing my long term diet is going to be.

For DS. which if I’m understanding correctly you can just have a little more fat than SAD, what carbs can you have. Like can you have fruits and veggies. Obviously not potatoes but what about zucchini or strawberries. Stuff like that. I’m thinking if I have to limit fhaf idk it sounds really hard.

My first thought was a snarkier version of that such as your concern has been noted but, I think I’ll take my medical advise from those with medical degrees. Contrary to how that may sound, though, I’m not a confrontational person so I would only ever think it in my head. I like your version as an actual solution. Seems like a very nice way to say stay in your lane.

I’m wondering if it really has anything to do with the surgery at all. My primary dr told me that immediately post surgery if I had issues that I would call the bariatric dr and ask if I should see them or go to my family dr. Maybe try giving them a call and see if it sounds like something of concern.

I would love to say don’t worry about the comments but the honest truth is I probably would too. lol. Maybe if you get in to see your team and run it by then they will make you feel better about allowing your body to find its new happy place. Keeping in mind that most people do have some bounce back weight whether it’s the same year or three years down the road you will be lucky in my opinion to have a little cushion there. I also have to ask, are the people making these comments bigger than you now? Some people could actually be jealous or they just need you to be heavy to make themselves feel better. Maybe They were used to you bejng the overweight friend making them feel better about their own insecurities. Some may be Thinking things like I may be overweight but it’s not like I’m as big as some people I know (aka you). Now they have to look at themselves and feel what they actually feel without justifying it in that way. Or Perhaps they are thin but they felt inferior to you in some other way and In their mind their insecurity was off set by the fact that you were overweight (I’m not as funny or smart or whatever it may be but at least I’m not overweight). Not sure if that makes sense or if it’s exactly one of those thing but if I had to guess it’s something that is 100% a them thing not a you thing. You are doing great!!

I thought that there must be an actual formula out there somewhere since they were referring to this number in medical journals. I will baxe to ask my surgeon which one is the most commonly used (although they are all pretty close). I also noticed they are almost the middle of the bmi range.

I agree 100% that BMI is completely flawed. When I was young I did fit right in there but at around 25 I just started gaining and never stopped. I would love to get back to that perfect BMI but I just don’t see if Happening for me.

I love that last part. That’s so true. I am looking at every way or calculating it and it boils down to the fact that losing only a percentage of that I am most likely not going to reach my “happy weight” however I will lose a large amount of weight and I will be healthier. That’s what matters most.

Question. How do they determine “excess weight.” Is it calculated from a certain BMI?? I tried to get an answer to this three hears ago when I was awaiting the sleeve and I still haven’t figured it out.

I can’t really answer your question. But I can add that Meds can definitely change how they react post surgery. Idk about right away but I was on a med for years pre surgery. Has to go off of it after surgery because it only absorbed with a meal of at least 300 calories or something like that then I went back when dinner could be 300 calories and all of a sodden I had terrible side effects from the medicine I never had the first time. Dr said that happens.

What about Turkey Jerky? I found some snack packs at Walmart (they are actually called Turkey sausage bites) that have 10g protein for 120 calories. The pack is pretty big too. I’m not super good at macros but it’s 7g fat and 2g carbs??

Yea I’ve told them all I know they are just being polite and I know it’s not their job to help but yet I’m still asking them to please help. Last time it was always you doing so good, one slice of pizza won’t kill or one whatever. But I have enough of a fight inside myself without them tempting me too. i told my husband tonight I sit here and think about this time vs last time and I am starting to think maybe last time I really just wasn’t really ready. Last time at this point I was out eating everything I could trying to get my last hoorah in. This time I’m eating healthy as I can trying to lose some now to make it easier. I can’t say for sure but I hope that’s a good sign.

ChunkCat. I seen on another post where to listed out your daily food log and it was super helpful. I can’t find it now but i took a screenshot and I was just looking at it. I’m hoping my log will be somewhat similar. I am wondering about the keto muffins. You said homemade. Do you mean from a box or scratch. If scratch do you have a link to the recipe by chance?! Since my appt I have been eating lower carb and I am quickly recalling that if I don’t have carbs for a few days I don’t crave them nearly as strongly. I have since told two close friends, my husband and my aunt that apparently no i can’t have just one brownie or one slice of pizza or one piece of cake even if I have this surgery and I’m doing great and please try to remember not to tempt me because it’s hard enough on my own not to have it. I honestly think I’m addicted to carbs and I have to go cold Turkey to be able to do it. I mean I had a wrap the other day and that was okay because it was still low amount I think but if I have a lot. My body screams out for them again for several days afterwards. Maybe most of you know this or maybe I’m weird but I’m hoping that if people who love me understand this about me then maybe I will have better success this time around. Ooh and my point to telling you all that is that I would love to try your muffin recipe because I am basically doing low carb now. Lol

What’s the difference between the sasi and the Sadi. I am contemplating the Sadi and I just learned it’s the same as sips but this is first I heard of sasi. Wow there are alot more bariatric surgeries than I ever realized.

Hello sunnyg. I just learned today that sips is the same thing as SADI which I am looking at converting to from sleeve pretty soon I hope. I was hoping for a bypass and he told me to research this procedure as well. I am glad because it seems like a better fit. I hope you are doing well in your weight loss these first couple of months

I have no experience with tricare but If you have no luck and your not absolutely set on bypass, i I was reading up on Sadi and If you had sleeve and convert to the sadi procedure instead one article said it’s under 10K without insurance (I guess that’s cheaper than alot of revision procedures). Anyways, Not sure if that’s doable for you but maybe with care credit you could make installments?? I Just figured I’d mention it in case it helps.

I don’t have a date yet but I think I have pretty well settled on the SADI surgery for my revision. I meet with him the end of next month to ask my final questions and then I guess it’s a waiting game. I am hesitant to post on the regular pre op boards and say I’m pending revision because I gained it all back. I feel like I may discourage someone from trying.

That makes a lot of sense. Thank you. I guess I need to go with my gut too which says that she is a very qualified provider that has done right by me thus far and I like that she didn’t even pretend to know about it. I usually say that I would rather have someone who can admit what they don’t know and know how to find the answer when they need it than someone who tries to pretend to be experts at everything but really doesn’t have a clue. I suppose i was overthinking it a bit. She asked me to get a list of labs from him and said she will order them for me with my regular ones. I think for the first year they will probably want me to do them at the surgeons office, though. They did with the sleeve.

That’s very true. Even as we spoke today she was researching it a bit. Perhaps it peaked her interest and she will search it a bit more. My surgeon is not at a weight loss center but he does have a NP and I am expected to do follow up appointments with her. Post sleeve I stopped going as soon as they said I could get my labs at my pcp but that’s just because I was so ashamed about my regain. I know that the malnourishment is a lot bigger of a deal with this procedure though so I will be more diligent this time around if I choose to go with the SADI.